Looking for ILS? We've moved to our new website. Some users may experience temporary access delays during the transition. We appreciate your patience as we complete this update.
Share to
  • Email
  • Facebook
  • X
  • Bluesky
  • Instagram
  • LinkedIn
Share to
  • Email
  • Facebook
  • X
  • Bluesky
  • Instagram
  • LinkedIn
Back to Test Catalogue
Test ID: METFRU

Metanephrines – Fractionated LC-MS/MS, Random Urine

Test Overview

Method

Liquid chromatography-tandem mass spectrometry (LC-MS/MS)

Result Included

Free Normetanephrine; Free Normetanephrine/Creatinine Ratio; Free Metanephrine; Free Metanephrine/Creatinine Ratio; 3-Methoxytyramine; 3-Methoxytyramine/Creatinine Ratio; Creatinine

Aliases/Synonyms

Fractionated Metanephrines, Metanephrines Free, urine, NMN, urine, Normetanephrine, free, Normetanephrines, urine

Specimen

Specimen Type

Urine (Random)

Volume

Sample Volume

25 mL

Patient Preparation

Restrict caffeine, nicotine and alcohol for 24 hours prior to collection. Discontinue Methyldopa (Aldomet) at least 5 days prior to collection. Avoid reserpine, alpha methyldopa, levodopa, monoamine oxidase inhibitors.

Collection & Handling

Handling Information

Acidify aliquot with 6 mol/L (6N) HCl. The final pH of the urine must be 2.0 – 4.0.

Stability

Refrigerated Frozen
1 month >1 month

Performance & Interpretation

Turnaround Time

10 days

Results

Name
Units
Reference Range
Conversion
  1. Creatinine
    nmol/L
  2. Free Normetanephrine
    nmol/L
  3. Free Normetanephrine/Creatinine Ratio
    nmol/mmol creatinine
  4. Free Metanephrine
    nmol/L
  5. Free Metanephrine/Creatinine Ratio
    nmol/mmol creatinine
    <31
  6. 3-Methoxytyramine
    nmol/L
  7. 3-Methoxytyramine/Creatinine Ratio
    nmol/mmol creatinine
    <45.0

Referral Location

Canada

Interface & Setup

HL7 Interface Codes

Order Code Result Name Result Codes Units
METFRU Normetanephrine Random Free 63304 nmol/L
Normet/Crt Ratio 63305 nmol/mmol creat
Metanephrine Random Free 63306 nmol/L
Met/Crt Ratio 63307 nmol/mmol creat
Methoxytyramine Random 63308 nmol/L
3-Methoxytyramine/Creat Ratio 63309 nmol/mmol creat
Creatinine Rand Urine 28004 mmol/L

Test Version

Last Updated

2023-12-21